Healthcare Provider Details

I. General information

NPI: 1477698264
Provider Name (Legal Business Name): SUZANNE DOYON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 09/26/2022
Certification Date: 09/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 SAINT PAUL ST ER
BALTIMORE MD
21202-2102
US

IV. Provider business mailing address

263 FARMINGTON AVE
FARMINGTON CT
06030-0001
US

V. Phone/Fax

Practice location:
  • Phone: 410-332-9809
  • Fax: 410-545-5167
Mailing address:
  • Phone: 860-679-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD0051954
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License Number056931
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: